The Modified Robertson Reduction Mammaplasty

The Robertson technique of reduction mammaplasty was first reported in 1964 in an attempt to preserve the natural inferior breast contour for very large as well as small reductions [1–4]. The original technique used a bell-shaped incision and free-nipple grafing [1]. The procedure has since been “modified” to include inferior pedicled soft issue encompassing the nipple–areola complex, retaining its sensation and viability [5, 6]. The bell-shaped curvilinear markings have the advantages of versatility, especially in larger reductions, inframmary crease preservation, easy intraoperative markings, good nipple projection, and reduction of “bottoming-out.” Pseudoptosis or “bottoming-out” with this technique is minimized because the infraareolar dermal skin pedicle is not disrupted, maintaining stronger inferior support to the breast mass.